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Homestead_Cotterman H. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer Company Address(number and street, city, state, country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) i D I — as itappears on conveyance document Seller 2—Name as it appears on conve an l'i" i 1�irr Seller 1 Name y pp Y Cody D. Frederick Taylor C. Frederick 4 Address(number and street) Address (number and street) SEP 13 Z024 �/� 326 E 775 N 326 E 775 N G City, State and ZIP Code City, State and ZIP Code ,1uczt' a iik-&,&,,,,,) Hazleton, IN 47640 Hazleton, IN 47640 GIBSON COUNTY AUDITOR Country Country United States of America United States of America Email Address of my knowledge and belief, is true, correct,and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred real property,or omits or falsifies any information required to be provided, commits a Level 5 felony. ,signature of Seller `� ��� Signature j eller i Printed Name of Seller ----- Date Signed (mm/dd/ Printed Nam Seller l Date Signed (mm/dd/yyyy) Cody D. Frederick YYYY) Taylor C. Frederick 9/4/2024 9/4/2024 J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document Kayla Ann Cotterman Trevor Heath Cotterman Address (number and street) Address (number and street) 1106 Doebrook Dr. 1106 Doebrook Dr. 17A �aa/ City, State and ZIP Code City, State and ZIP Code , * s, New Albany, IN 47150 New Albany, IN 47150 Country Country United States of America United States of America Pursuant to IC 6-1.1-12-4'4,the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION © ❑ 1. Will this property be the buyer's primary residence? © ❑ 3. Homestead ❑ 0 4. Solar Energy Heating or Cooling System ❑ 2. Does the buyer have a homestead to be vacated for ❑ © 5. Wind Power Device this residence? If yes, provide address: ❑ IZ 6. Hydroelectric Power Device Address (number and street) ❑ © 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true,correct,and complete